Violeta Reyes

Child Health Record: The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Rule 19a-87b-10(b)(2).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

Incident Log: The provider shall have on file an incident log for each enrolled child to record accidents, incidents that shall be reported to the Department of Children and Families, injuries, illnesses or unusual behaviors that occur and observations of the child made by the provider during business hours. The incident log shall be complete and be available upon request to the Office of Early Childhood and shared with the parent(s) no later than the next business day.

Rule 19a-87b-10(b)(4).

Individual Plan of Care: The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child’s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Rule 19a-87b-10(d)(3).

Documented Med Trained Staff: Prior to the administration of any medication other than nonprescription topical medications, the provider and any substitute(s) who are responsible for administering the medications shall be trained in the methods of administration of medications and in the specific route by which the medication will be administered and shall receive written approval from the trainer indicating that the trainee has successfully completed such training. A provider or substitute trained and approved to administer medication shall be present whenever a child who has orders to receive medication is enrolled and present at the family child care home. Training approval documents and outline shall be maintained on site at the family child care home.

Rule 19a-87b-17(b)(1) and/or 19a-87b-17(b)(2).

Written Authorized Prescriber/Parent Permission: Except for nonprescription topical medications, no medication, prescription or nonprescription, shall be administered to a child without the written order of an authorized prescriber and the written permission of the child’s parent(s) which shall be on file at the family child care home. The medication shall be administered only in accordance with the written order of the authorized prescriber and shall not administer the first dose of any medication, except in an emergency.

Rule 19a-87b-17(b)(3).

Prescription Meds Stored/Labeled: Medication shall be stored in the original child-resistant safety container and appropriately labeled. Except for nonprescription topical medications and emergency medications, medication shall be stored in a locked area or a locked container, in a refrigerator in keeping with the label directions away from food and inaccessible to children and unauthorized personnel. Controlled medication shall be stored as required by statute. Emergency medications shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

Rule 19a-87b-17(b)(5).

Unused/Expired Prescription Meds: All unused or expired medication, except for controlled drugs, shall be returned to the parent(s) or disposed of if it is not picked up within one week following the termination of the order in the presence of at least one witness. The family child care home shall keep a written record of the medications disposed of for three years which shall be signed by both parties.

Rule 19a-87b-17(b)(5)(D).

Emergency Med/Equipment Labeled and Current: The provider shall require the parent(s) of a child who has a prescription for a premeasured commercially prepared auto-injector used to treat an allergic reaction or injectable equipment used to administer glucagon or other injectable medication or rectal medication or inhalant medication to treat asthma, to provide the injector or equipment labeled with the information from the authorized prescriber upon enrollment and attendance of such child at the family child care home, and replace such medication and equipment prior to its expiration date.

Rule 19a-87b-17(b)(5)(E).

Medical Statement: The provider shall be physically, emotionally and mentally able to handle child care responsibilities and emergencies and shall be free from any mental, emotional or physical health problems which may impair such ability or otherwise adversely affect the children in care. The provider shall furnish to the Office of Early Childhood, medical information and documentation as requested.

Rule 19a-87b-6(b).

First Aid Certificate: The provider shall maintain a current certificate from an approved course in basic first aid appropriate for child care providers and shall maintain verification of such training on file at the family child care home.

Rule 19a-87b-6(c)(1).

CPR Certificate: The provider shall maintain a current certificate from an approved course in CPR for child care providers and shall maintain verification of such training on file at the family child care home.

Rule 19a-87b-6(c)(2).

Emergency Plan: The provider shall develop a written plan for the protection of children and staff in the event of emergencies.

Rule 19a-87b-9(d)(4)(E)-(5).

Emergency Evacuation Drills-Quarterly: The provider and staff shall be periodically instructed and kept informed of their duties under the plan and shall practice at least quarterly an emergency evacuation drill. A written log of the practiced drills shall be maintained at the family child care home for one year.

Rule 19a-87b-9(d)(5).

Freedom of Hazards: The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Rule 19a-87b-9(b).

Enrollment Form: For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home.

Rule 19a-87b-10(b)(1).

Child Health Record: The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Rule 19a-87b-10(b)(2).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

Authorized Release: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Rule 19a-87b-10(b)(3)(A).

Emergency Permission Form: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the children.

Rule 19a-87b-10(b)(3)(B).

Field Trip and Transportation Permission: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying any activity away from the family child care home, including days and times, and transportation for children leaving the family child care home by the provider or staff.

Rule 19a-87b-10(b)(3)(C) and/or 19a-87b-10(b)(3)(D).

Individual Plan of Care: The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child�s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Rule 19a-87b-10(d)(3).

Infants Placed in Safe Crib/Snug Mattress/Tight Sheet: Infants under 12 months shall be placed to sleep in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet.

Rule 19a-87b-10(f)(1) and/or 19a-87b-10(f)(4).

Crib or other Provision Free from Observable Hazards: No potentially hazardous items shall be placed with an infant in a crib or hung over the side of a crib or other piece of equipment designed for sleeping except for a pacifier without attachments. Bibs and garments with ties or hooks shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. No child under three years of age shall have access to teething necklaces, teething bracelets or other jewelry that could present a choking or strangulation hazard.

Rule 19a-87b-10(f)(3) and/or 19a-87b-10(f)(7).

Reqts for Sleeping Arrangements Posted/Discussed: The provider shall post in a conspicuous place in the family child care home the requirements pertaining to sleep arrangements and discuss with the child�s parent(s) the requirements prior to enrollment and reviewed as needed during the period of the child�s enrollment.

Rule 19a-87b-10(f)(8).

Supervision-At All Times, Indoors/Outdoors: The provider shall be responsible for the supervision of the children at all times indoors, outdoors or on excursions. The provider shall be either indoors or outdoors with all children in care unless an approved staff is present to supervise.

Rule 19a-87b-10(i).

Parent Permission for Nonprescription Topical Meds: The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication and shall be kept on file at the family child care home for each child administered a nonprescription topical medication. The medication shall be administered only in accordance with the written permission of the parent(s).

Rule 19a-87b-17(a)(2).

Written Authorized Prescriber/Parent Permission: Except for nonprescription topical medications, no medication, prescription or nonprescription, shall be administered to a child without the written order of an authorized prescriber and the written permission of the child�s parent(s) which shall be on file at the family child care home. The medication shall be administered only in accordance with the written order of the authorized prescriber and shall not administer the first dose of any medication, except in an emergency.

Rule 19a-87b-17(b)(3).

Prescription Meds Stored/Labeled: Medication shall be stored in the original child-resistant safety container and appropriately labeled. Except for nonprescription topical medications and emergency medications, medication shall be stored in a locked area or a locked container, in a refrigerator in keeping with the label directions away from food and inaccessible to children and unauthorized personnel. Controlled medication shall be stored as required by statute. Emergency medications shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

Rule 19a-87b-17(b)(5).

License Posted: The license shall be displayed conspicuously in a location visible to the Office of Early Childhood staff and to parents whose children are in care or who are considering placing their children in the provider’s care.

Rule 19a-87b-5(f)(2).

Judgment: The applicant and provider shall demonstrate the personal qualities appropriate for working and communicating with children and their families and other adults.

Rule 19a-87b-6(e).

Freedom of Hazards: The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Rule 19a-87b-9(b).

Electrical Safety: Electrical cords and appliances shall be secured and in good repair. Electrical cords shall not hang within reach of children. Protective covers or approved safety outlets shall be provided for all electrical receptacles in all areas accessible to children.

Rule 19a-87b-9(d)(3).

Emergency Plan: The provider shall develop a written plan for the protection of children and staff in the event of emergencies.

Rule 19a-87b-9(d)(5).

Smoke Detectors: The provider shall have smoke detectors, in operating condition, placed in the home so as to protect day care children’s sleeping areas, play areas and the basement. There shall be at least one smoke detector on each level of the facility.

Rule 19a-87b-9(d)(6).

Carbon Monoxide Detector: Family child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the home. CO detectors shall comply with the Underwriters Laboratories Standards for Safety and shall be operated in accordance with the manufacturer�s instructions.

Rule 19a-87b-9(d)(7).

Smoke Detectors: The provider shall have smoke detectors, in operating condition, placed in the home so as to protect day care children’s sleeping areas, play areas and the basement. There shall be at least one smoke detector on each level of the facility.

Rule 19a-87b-9(d)(6).

Capacity: The provider shall maintain the family child care home within the registered capacity.

Rule 19a-87b-10(a).

Child Health Record: The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Rule 19a-87b-10(b)(2).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

Authorized Release: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Rule 19a-87b-10(b)(3)(A).

Emergency Permission Form: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the children.

Rule 19a-87b-10(b)(3)(B).

Field Trip and Transportation Permission: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying any activity away from the family child care home, including days and times, and transportation for children leaving the family child care home by the provider or staff.

Rule 19a-87b-10(b)(3)(C) and/or 19a-87b-10(b)(3)(D).

Incident Log: The provider shall have on file an incident log for each enrolled child to record accidents, incidents that shall be reported to the Department of Children and Families, injuries, illnesses or unusual behaviors that occur and observations of the child made by the provider during business hours. The incident log shall be complete and be available upon request to the Office of Early Childhood and shared with the parent(s) no later than the next business day.

Rule 19a-87b-10(b)(4).

Infants Placed in Safe Crib/Snug Mattress/Tight Sheet: Infants under 12 months shall be placed to sleep in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet.

Rule 19a-87b-10(f)(1) and/or 19a-87b-10(f)(4).

Reqts for Sleeping Arrangements Posted/Discussed: The provider shall post in a conspicuous place in the family child care home the requirements pertaining to sleep arrangements and discuss with the child�s parent(s) the requirements prior to enrollment and reviewed as needed during the period of the child�s enrollment.

Rule 19a-87b-10(f)(8).

Judgment: The applicant and provider shall demonstrate the personal qualities appropriate for working and communicating with children and their families and other adults.

Rule 19a-87b-6(e).

Stairways: Protected/Handrails: Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that may be hung, drawn or lowered at the entry of stairways accessible to children to prevent falls.

Rule 19a-87b-9(d)(4)(D).

Carbon Monoxide Detector: Family child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the home. CO detectors shall comply with the Underwriters Laboratories Standards for Safety and shall be operated in accordance with the manufacturer�s instructions.

Rule 19a-87b-9(d)(7).